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COM2024-00077-00082 HWY 102 Properties Multi Bldgs - COM Application - 1/21/2025
ovY\VTL-�-1-- 0 00-7-7 0 2Z HWY 102 PROPERTIES LLC ` SEC 2.T20 N,R4 W.W.M. i of 4PAC MA[ae(D AM - � DATUM! A!T[al[AA[A - y ti_ A(ISM'M(-Y9AYCroY eNrs M1Y[ :� ®a/arla f-- ��- — I — mosnwn sour mr.ie�o avrnr e.so ov re ri uNe[nrswalpassa neuw TNri6CAr •�°ro"� r aca-.wn es e.so w rn res ro a _A----- - ---- ---7 --- EH APPROVED Au os rts un[a,Ans tAr manro o ♦" t f RhdIW TNanw.nrl ov,oJ2p2s ----J----' ___ _ aYbr(,rx[[Kme psosnn : EH Setbacks i� ---- A)DnawWtl/R—.reputes 10 M.MM EMI* hlbad hom Ioosnp,rourMatrons a l 1 S.1 Swf ta*.)repuire.s..Mask%dn a l loolirg rouneal'ons $J A IUILDINO// D.I Na f-Wati.nma%Inaler Dn,l s wnh n,"&IN1e0enl.I �. I Nc ASVIr DrainNo%ekVCW eanlp RC=N.eI(p area i 'I I Ierw.ttvs0.l D.) realer than 51taM oavear 45 tleprees)witMn Npp SV%tlown pratlwnl of DrainreltlrReaerva a O I pLU NOT AN APPROVED SEPTIC DESIGN t 1z a I Must use SWG 2024-00386 for septic installation U z I ►� suuorNo x/ J g I u z d'ss tin rAaydr $ O U- /Ar I z ND ! , z I jl /wLMNs/4 � I I ,r yV �, r sr�im Tr.esr q .m.arsa-[.srs[ser— yz ��� � �`} ■� � � I W lu [mil r o rerM sr4ts n9140 Mr I MI KQ591[ � I I eu[LorNo As'a Z 3 3 A /r It it , III i �aew 'aAc Y �II d I IUILO/NO/'f I b• U)00 5 I Re'J. '/ l AAeT ua[rol[J _ ---- /~eY II` of Q ------- -- 1, a� w � � J- -- 0 z serxea — Q= ! ' i y!� eY PnAKroI PW!lMir F[ACWSH[[M a(I(C1 AOY �5 //Y 41/� 9�M1l M91w[v RrrrtW a)YS nier�ALI�I[ NLWMM e mm ies w rausic.a uorraaro rarAlr ue Ar r-ear[ar-xw w �.-C3.0 /af /r(eO1JA M'iW e'b M1111e NO NAW[1TJMAIX 4•9 MASON COUNTY COMMUNITY SERVICES PermitNo: com PERMIT ASSISTANCE CENTER: -BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street Shefton,WA 985M Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone Belk4:(360)2754467•Phone Erma:(360)46z-5aq4) BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Q ; 11.9 v NAME: MAILING ADDRESS: MAnxx(i ADDRESS: CTTY:S/i r.4ib'/I STATE: A ZLP:�� CITY: STATE: ZIP: PHONE#1: ,, PHONE: CELL: PHONE#2: EMAIL: EMAIL- LM REG# PRIMARY CONTA OWNER K cONTRACTOR❑ OTHER P NAME MAI EL he.JaS . LAA1 MAILING ADDRESS CITY STATE AdA,_ZIP PHONE AO- CELL_7?120-7129- —— PARCEL INFORMATION: 1� PARCEL NUMBER(12 DietNumber)yZBGa-ag-yoa3oo ZONING 71&&V 1`7'&- LEGAL DESCRIMON Abbreviated) Ls .3 5L,6 Dit t/ .Cq-x 7 FIRE DISTRICT CeA t a, ^�' SITE ADDRESS PJ• W4thWA r_,77 CITY A-G DIRECTION.!JTO SITE ADDRESS 14 W O OAl N���ti�d GT IS THE PROJECT WTI'HN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO)O SNOW LOAD._psf IS PROPERTY WnHIN 200 FT OF THE FOLLOWING: (chin dwr pay): SALTWATER❑ LAKE❑ RIVER/QMX❑ POND❑ WEIT.AND❑ SEASONAL RUNOFF❑ STREAM❑/0 TYPE OF WORK: NEVY0 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ usE OF STRUCTURE(Redd...,Garag4 c...wBfdy Fx) C*AfW f Z,4 1,-1 e_imAq S AR ). IS USE: PRWARYA SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BAT M00MS�j_ HEATED STRUCT[IRE? YES((n.L-87d YES(Porn[.)ofBW[INO❑ DESCRIBE WORK C&^A,14/'� CTf�' tfi1 S SQUARE FOOTAGE- 1ST FLOOR 40 K.IL 2ND FLOOR/ _sq.$ 3RD FLOOR sq.R BASEMENT I,_sq.fL DECK_sq.8 COVERED DECK MA- sq.& STORAGE_sq.fi OTHER sq.ft GARAGE_04-_sq.$Attached❑ Ddarhed❑ CARPORT_*A_sq.IL Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* EL YEAR LENGTH 7T,H� BEDROOMS NUMBER ENVIRONMENTAL HEALTH: SEWAGFISEWER.SOURCE: SEPTIC SEWER❑ / NEWX EXISTING❑ PLUMBING IN STRUCTURE? YESA NO❑ 93pas,aftar completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YEVI' NO[] EXISTING SQ.FT. EXISTING BEDROOMS�_ PROPOSED BEDROOMS TOTAL BEDROOMS O OWNER acknowledges that submmsion of Inaccurate information may result in a stop work order or pemt8 revocation.Admawledgement of such is by signature below.I declare that I am the owner and I further declare fiat I am enUBed to receive this permit and to do the work as proposed.I have obtained permission fnmm aB the necessary parties.including any easernent holder or parfes of Interest regarding this project.The owner or legal representative,represents fiat the information provided Is acauate and grants employees of Mason Carty access to the above described property and sbuctre(s)for review and inspection.This penntttapp(icafon becomes null&void a work or author(zed construction is not commenced within 180 days or N=isWc&m work Is suspended for a pedod of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPUCATI 0 DAYS OF MORE WILL CAUSE THE APPUCATION TO BE EXPIRED.(MASON COUNTY CODE 14.0&A2) (� X Sign re OWNER(Must be signed by the OWNER) Date �_LPARTMLtNrALBEVIERr_ -�: rAPPI20VED�`=DATE 1i11jIED -DATE`.=-TAGS/NOTTZS/CO1�iDITIONs : BUIL DING DEPARTMENT -Z I-Z PLANNWG DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: M bao ri7 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 Phone Belfair.(360)275-4467- Phone Elma:(360)482-5269I�L PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: L&4 / i LLC.. NAME: Gt G� MAILING ADDRESS: MAILING ADDRESS: CITY: Sirs Ao 1 STATE: W ZIP: CITY: STATE: Z]P: l"PHONE: 9AC)-- ?&I ?69 S/ PHONE: CELL: 70 — 2nd PHONE: EMAIL: EMAIL: f . _ L&I REG# EXP. PARCEL INFORMATION: t[ r PARCEL NUMBER(12 Digit Number): yc�0b� T — 003.0 Zoning- LEGAL DESCRIPTION(Abbreviated): L is 4/ SITE ADDRESS: / 1 W. eJe CITY: DIRECTIONS TO SITE ADDRESS: !XJ pi AJ eT M� D TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNTTS—1sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMEING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNVS Type of Fixture No.of Fixtures Fees Fuel Type:Electric--/ LPG Natural Gas Ductless_ Toilets T— Type of Unit No.of Units Fees Bathroom Sink �— Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null$void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x 16-a7 - Signature o Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTMENT PLANNING DEPARTM= FIRE MARSHAL Rev:1/272016 J6N MASON COUNTY COMMUNITY SERVICES Permit No:M 2621-4 - rlh PERMIT ASSISTANCE CENTER: ^ •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL V ` 615 W.Alder Street,Shellon,WA 98584 Phone Shelton:(380)127-9670 ext,352•Far(360)427-7798 Phone eeHa6:(360)275-4467•Phone Erma:(360)4825269 � ����/ _., BUILDING PERMIT APPLICATION l/Q� PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: -r B NAME: MAILING ADDRESS:_[ I s MAILING ADDRESS: CITY:S 44Ar► STATE: A• ZIP: CITY: STATE: ZIP: PHONE#1: PHONE: CELL: PHONE#2: EMAIL EMAIL: I.u REG# EXP. PRIMARY CONTA OWNER K CONTRACTOR❑ OTHER Q NAME EMAIL keom G &./HS 4e 6PA4 MAII.ING ADDRESS CITY t^/ STATE A4A, _ZIP PHONE O- . CELL-I�-��g���Rl1 PARCEL INFORMATION: PARCELNUMBER(12Di&Numbcr)y20oa--aq-'_ qCCW ZON]NG 7A&V4k7*-! 0004 �!-p. LEGAL DESCRIPTION Abbreviated) .? 5wb DitJ• �G�•7 FIRE DLSTm r CeA ' O x n re— STrEADDRFSS k/. WjWj ar CITY ke- A d y DIRECTION TO SITE ADDRESS a! AP ff_W O ` A,4 O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO)o SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (chrrkaH hhat apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WEILAND❑ SEASONALRUNOFF❑ STREAM❑40 TYPE OF WORK: NEV�o ADDITION❑ ALTERATION❑ REPAIR❑ OTHER USE OF STRUCTURE(ate Gag,CauaKrdoJBldy Erc) GO/M��✓ri1 g���(G�� �( . IS US}? PRIMAR SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(WhokB) YES(Pan[sl ofBW❑ NO❑ DESCRIBE WORK /L4L 4/Y 6rf&GJ S SQUARE FOOT�AGE:baopaaal 1ST FLOOR?/v sq.$ 2ND FLOOR tV,4 sq,f L 3RD FIDORI sq.R BASEMENT sq.fL DECKAM-_sq.& COVERED DECKS 40 sq.& STORAGE_II&_sq.fL OTHER sq.& GARAGE,_sq.It Attached❑ Detached❑ CARPORT_Ay& sq.&Attached❑ Detached❑ MAN'UFACT URED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUnUW* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YESO NO❑ Ifyes,attach completed Water Adequacy Form PERRAETERNOUNDATION DRAINS PROPOSED? YEV' NO[] EXISTING SQ.FT. EXISTING BEDROOMS�_ PROPOSED BEDROOMS TOTAL BEDROOMS OWNER aelonawledges that submission of inaccurate information may result Ina stop work order or permit revocation.Acknowledgement:of such Is by signature below.I declare that I inn the owner and 1 further declare that I am entitled to receive this permit and to do the words as proposed.I have _ obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal representative,represents that the information provided Is awe and gram employers of Masan County access to the above described property and structure(s)for review and Inspection,This permWapplication becomes null✓A void If work or authorized construction is not commenced within 180 days or if conshid(or work Is suspended for a period of 180 days PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVRY OF THIS PERMIT APPUCATI 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.06A2) X Sign re oTOWNER(Must be signed by the OWNERI Date DEYARTMF.)VTALREVIEW_ :.A.PPROVEDF;-?DATL+ p DFdVIED :.DATE =:TAGS/NOTES/CONDTITONS-. BUII DING DEPARTMENT �. /� PLANNING DEPARTMENT FIRE MARSHAL. PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES PermitNo: l c '�_ ��-obO8 PERMIT ASSISTANCE CENTER: a •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us �A Phone Shelton:(360)427-9670 ext 352- Fax:(360)427-7798 l Phone Belfair. (360)275-4467- Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: ff&dy /61 9 LLC. NAME: Gt ;V STa� MAILING ADDRESS: O MAILING ADDRESS: CITY: 46qn6{�,1 STATE:ZIP:�fO CITY: STATE: ZLP: 1-PHONE: Z6PE 769-36g PHONE: CELL: S 2nd PHONE: EMAIL: EMAIL: eCA M1 L&I REG# Ex?. PARCEL INFORMATION: t[ I PARCEL NUMBER(12 Digit Number): �c�©��' T ©03 0 Zoning- LEGAL DESCRIPTION(Abbreviated): a.s 4/ SITE ADDRESS: /q I GT CITY: DIRECTIONS TO SITE ADDRESS: C !� l G O TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—1 sT FLOOR 2�"FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets --� Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.1 further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permitlapprication becomes null$void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X �6r4; 7 " s!� Signature o Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTITONS BUILDING DEPARTMENT �h- -21,2- PLANNING DEPART V= FIRE MARSHAL Rev.1/27/2016 1BN MASON COUNTY COMMUNITY SERVICES Permit No: PERMfrASSISTANCE CENTER: •BUILDING•PLANNING-PUBLIC HEALTH•FIRE MARSHAL 61S W.Alder Street,Shelton,WA 98584 • Phone Shelton:(360)427-9670 ext 352•Far(380)427-7798 Phone Bel(a6:(360)275.4467•Phone Elms:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: �¢.oy� ►rM NAME: MAILING ADDRESS: //.^ ^16 4111 MAILING ADDRESS: CITY:SA4A A STATE:rJ* ZIP:_, CITY: STATE: ZIP: PHONE#1: �36C9—78 2 J1 9 51 PHONE: CELL: PHONE#2: EMAIL: EMAIL: 5..•& r'1 IAI REG# EXP. / / PRD ARY CONTA OWNER K cONTRACTOR❑ OTHER Jr] r� NAME EMAIL d0 G �? /-•SN CIA" MAILING ADDRESS CITY STATE WA, _ZIP PHONE 26a O-- CELL PARCEL INFORMATION: PARCELNUMBER(12 Digit NumbQ)yz0aa -ay— 1 t1L _ZONING XA&AA►f47�'l LEGAL DESCRIPTION Abbreviated) 3 StA6 Di 41. AS x7 FIRE DISTRICT CeA � -a,-, SITE ADDRESS 7V 0J. WjW1Wd G CITY ^ r✓ / DI ECTION����TOSITEADDRESS /© �tI Q ' p L&Wj ri4,j GT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO)J SNOW LOAD:,_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: pieatoll dw aWy): J/ SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑/ TYPE OF WORK: NEVpd ADDITION❑ ALTERATION❑ REPAIR❑ OTHER usE of sTRuc1URE(R.a�cam ro aLBmg.Eu-) ! O; aAt ,*rr..!%pl—I 49«I IS USE PRIMARX�q SEASONAL❑ NUMBER OF BEDROOMS_0_NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES OnokBld� YES(Pmrlsl ofBw El No❑ DESCRIBE WORK Ca�►AA.b� &#-&&J S SQUARE FOOTAGE:�ropamJ w/ I ST FLOOR�i�sq.ft. 2ND FLOOR�J&sq.fL 3RD FLOOR_d t� sq.fL BASEMETTf_,#,+ sq.fL DEC i; AM__sq.R COVERED DECK_y+ sq.fL STORAGE_sq.ft. OTHER stir ft. GARAGE_#&_sq.fL Attached❑ Detached❑ CARPORT_A�A_sq.ft.Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: " SEWAGE/SEWER SOURCE: SEPTIC ,K SEWER❑ / NEW❑ HKISTING❑ PLUMBING IN STRUCTURE? YESA NO❑ Ifyes,attach completed Water.Adequacy Form PE JR[ET E RTOUNDATION DRAINS PROPOSED? YEVIT` NO❑ EXISTING SQ.FT. 0 EXISTING BEDROOMS__0 PROPOSED BEDROOMS C� TOTAL BEDROOMS O OWNER adawm4edges that submission of inane information may result in a stop work order or permit revocation.Adawwledgement or such is by signature below.I declare that I am the owner and 1 further declare that I am entitled to receive this pemit and to do the work as proposed.I have obtalned permission from ad[the necessary parfies,kKkdng any easement hoiden or parties of interest regarding the project The owner or legal represerttat1m represents itud the itrfornation provided Is accurate and grants employees of Mason County access to Omer above described property and structures)for review and uwpeaon.This perrWappl'ication becomes null&void if worir or authorized construction is not commenced wkhin 180 days or if canstrudon work Is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPUCATION4F.14,ODAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.011.42) (� Sign re o OWNER(Must be signed bythe OWNER) Date DEPARTMENTAL TREVIERr _ AP�ROVDE:- DATl _DENIED DATE+;-aTAGS1NOT7:S/CODITTOI�IS _: BUILDING DEPARTMENT _ PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 2o2.-4 - OCV 7� PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352- Fax.(360)427--7798 Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION• NAME: &4J / LLC.. NAME: Gt oyf srao� MAILING ADDRESS: 0 - a MAILING ADDRESS: CITY: 46q, �1 STATE:ZIP: CITY: STATE: ZIP: 1.5`PHONE: �[�' 7�e1-364 S� PHONE: CELL: -AQ- 4ljp���l S 2na PHONE: EMAIL, EMAIL: �'e�,� Jyj L&I REG# EXP. PARCEL INFORMATION: t PARCEL NUMBER(I2 DigitN T umber): yc�© — 7003 O b Zoning. LEGAL DESCRIPTION(Abbreviated): e-w 4/ SITE ADDRESS: / / • O GT CTTY: DIRECTIONS TO SITE ADDRESS: (� I (y of O dt.l� a TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF F]XTURES/UNITS—Isr FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.offixtures Fees Fuel Type-.Electric LPG Natural Gas Ductless_ Toilets �— Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that 1 am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement hold er or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X �6 Signature o Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT I-u-2 PLANNING DEPARTMENT FIRE MARSHAL ReY 1/27/2016 JBN MASON COUNTY COMMUNITY SERVICES Permit No: M 202A -60080 PERMIT ASSISTANCE CENTER: -BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext 3M-Fare(360)427-7798 Phone Belfalr.(360)275-4467.Phone Saw(360)482-5M BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: ,.� CONTRACTOR INFORMATION: NAME- �Q An IrU 7 '!g NAME MAILING ADDRESS: /(4 MAIIJ NG ADDRESS: CITY:SSG AVA STATE:PJ* ZIP: CITY: STATE: ZIP: PHONE#1: &6v-789-J&9y PHONE: CELL: PHONE#2: EMAIL: EMAIL- L&I REG# EXP. / / PRIMARY CONTAC : OWNER K CONTRACTOR❑ OTHER 4] NAME EMAI 594H 4A JNS/I'• 4rAAI MAILING ADDRESS CITY b SPATE AAW ZIP PHONE AO— CELL PARCEL INFORMATION: ,r / ( 1,,, PARC LNUMBER(12DigitNumber) 2iDoa- -1ay— ©©�V ZONING�lp��1`��� . LEGAL DESCRIPTION Abbreviated) Ls 2 5t�a 6 01'fA .�G-X? FIRE DISTRIcr CU ' r SITE ADDRESS 0. WOS G CITY Ae_ /t Pat DIRECTION TO SITE ADDRESS dAe4y /P W G OAl Wftr d GT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX SNOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (checkau hat apply): SALTWATER❑ LAKE❑ RTVER/CREEK[1 POND❑ WE I AND I] SEA SONALRUNOFF❑ STREAM❑ TYPE OF WORK: NEVVO ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(xesda CkM4CowhocoatBfd&Ere) CO/M/dl�I�r/l� 49 r✓�S ��( 0. IS USE: PRIMARYX SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Wholem CR YES(Pan[:]ofBw❑ NO[IDESIBE WORK Canna W Gf&11)S SOUARE FOOTAGE:�rapored) 1ST FLo0R_7 v_sq.fL 2ND FLOOR_sq.fL 3RD FLOOR J/ sq.fL BASEMENT sq.& DECK AM—sq.& COVERED DECKY_sq.fL STORAGE_Ag_sq.fL OTHER sq.& GARAGE_0t_sq.fL Attached❑ Det aed❑ CARPORT__A" sq.&Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUnUM* MAKE MODEL LENGTH BEDROOMS BATHS SERL4LNUMBER ENVIRONMENTAL HEALTH• " SEWAGE/SEWER SOURCE SEPTIC SEWER❑ / NEW❑ EMSTING❑ PLUMBING IN STRUCTURE? YES10 NO❑ byes,attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? Y&VIL NO❑ EXISTING SO,FT. O EXISTING BEDROOMS_ PROPOSED BEDROOMS TOTAL BEDROOMS Q OWNER acknowledges that submission of Inaccurate information may result in a stop work order or permit revocation.Admawledgement of such is by signature below.(declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from alt the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal represerrta8ve,represents that the Information provided is accurate and grants employees of Mason County access to the above described property and structur*s)for review and ktspection.This pemWapplication becomes nub&void if work or aulhortred construction is not commenced within 180 days or if construction work Is suspended for a pedod of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPUCAT1 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2) X Sign re OWNER(Must be signed by the OWNERI Date `QEPARTMENTALREVIEW ;APPROVED:'=+DATE`=:'- DENIED_ DATE-=TAGS/NOTES/CONI)ITTONS = BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: 2D2`1' 00080 . PERMIT ASSISTANCE CENTER: BUILDING •PLANNING -FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352• Fax.(360)427-7798 I Phone Belfair.(360)2754467- Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: to / L.LC. NAME: Ct �V- n Tom MAILING ADDRESS: p MAILING ADDRESS: CITY: S / it STATE: Uhl ZIPjera CITY: STATE: ZIP: 111 PHONE: gam- 76 l—069 PHONE: CELL.J& S 2nd PHONE: EMAIL: EMAIL: 6��t/\ _ >� L&I REG# PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): y��b� ' a-T — "!�✓�f Zoning. �/`�! j LEGAL DESCRIPTION(Abbreviated)- C SITE ADDRESS: /q I 0• GJe GT CTTY: DIRECTIONS TO SITE ADDRESS: Q UJ l TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNTTS—lsr FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Elechic LPG Natural Gas Ductless_ Toilets —� Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X /6-a 7 Signatur�00wnier � Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDTTIONS BUILDING DEPARTIVIENI' JT L /-Z l-2 PLANNING DEPART YU24T FIRE MARSHAL Rev:1/77/2016 J6N MASON COUNTY COMMUNITY SERVICES Permit No:_t Lem 7-62q— (,10601 PERMIT ASSISTANCE CENTER: BUILDING.PLANNING.PU SUC HEALTH,F7RE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelon:(360)427-gs7o ext.352•Fer(360)427-77e8 Phone Bel(air:(360)275.4467•Phone E/ma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: p CONTRACTOR INFORMATION: NAME: `^2 'T D NAME: MAILING ADDRESS: I s MAnjmG ADDRESS: CITY: A STATE'W& z>P: rawltCITY- STATE- ZIP: PHONE#1: PHONE: CELL. PHONE#2: EMAIL: EMAIL: Ss.d1, 1'i'1 L&i REG# EXP. / / PRIMARY CONTA OWNER K CONTRACTOR❑ OTHER ] NAME EMAIL G &JNS tV 6AA1 MAILINGADDRESS CITY Q STATE_ZIP PHONE CELL_��� PARCEL INFORMATION: ^ l,� PARCELNUMBER(12Digitxumber)y20 ada- - q-'06-3n ZONING�+�L7*-1` 000404. LEGAL DESCRIPTION(Abbreviated) LA 3 SK 6 Ai a. 36.'A-7 FIRE DISTRICT STTEADDRESS NJ, WOVIWA G CITY A d y DIRECTION TO SITE ADDRESS /C ' pAl wo� " GT IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOX SNOW LOAD:____psf IS PROPERTY WTTBTN 200 FT OF THE FOLLOWING: (a=k al7 thm apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WEIZAND❑ SEASONAL RUNOFF❑ STREAMEI�I!Of TYPE OF WORK NEVpO ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Beridena Asa Cammaeial Bid&Etc) CO/Mbl�I't%! 8 g f�d/LL,�,S ( IS USE PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_ HEATED STRUCTURE? YES(Whole BN YES(Pan(s]ofBW❑ NO❑ DESCRIBE WORK CAAAA b1� 64-&C-J S SQUARE FOOTAGE:(proparedf 1ST FLOOR_4t0 sq& 2ND FLOOR N,4 sq. L 3RD FLOOR sq.fL BASEMENT_,WT sq.f L DECK_sq.fL COVERED DECK M/>- sq.fL STORAGE—A _K.R OTHER sq.fL GARAGE_sq.ft.Attached❑ Detached❑ CARPORT--" sq.&Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIIM* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIALNUMBER ENVIRONMENTAL HEALTH: - SEWAGE/SEWER SOURCE: SEPTICX SEWER❑ / NEW❑ mas-ITNG❑ PLUMBING IN STRUCTURE? YESO NO❑ IYym,attach completed WalerAdequary Form PERIAMTE"OUNDATTON DRAINS PROPOSED? YE$J' NO[] EXISTING SQ.FT. O EXISTING BEDROOMS-- PROPOSED BEDROOMS TOTAL BEDROOMS__0 _ OWNER adamowledges that submission of kuacnuata information may result to a stop work order orpemit revocation.Admowledgement of such is by signature below.I declare that I am the owner and 1 further declare that 1 am entitled to receive this pemdt and to do the work as proposed I have ot#airted permission from all the necessary parties.Including any easarrient holler or parties of interest regarding this projmL The owner or legal reprEserrtatiue,represents that the information provided is accurate and gtants employees of Maser County access to the above described property and structure(s)for review and inspection.This pemdtlapprnation becorrres null 3 void l vrork or authorized construction is not commenced within 180 days or N construction work Is suspended for a period of 180 days PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPUCATI 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Signa-576-oTOWNER(Must be signed by the OWNER) Date rDEPARTII�NTA1,_REVIEW; ;: APPROVED"- DATE*' = DEAtIEs>_} DATE_'=TAGS/NOTM/CONPI7IONS : BUILDING DEPARTMENT I: i PLANNING DEPARTMENT FIRE MAR SE AL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: -BUILDING -PLANNING -FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext 352- Fax.(360)427-7798 Phone Belfair.(360)2754467- Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION- NAME: Hj4V / LLC- NAME: &,-A2ROA G MAILING ADDRESS: Q MAILING ADDRESS: CITY: " / �i STATE: W# ZIPjar_K CITY: STATE: ZIP: la PHONE: PHONE: CEL �('JS 2nd PHONE: Of I EMAIL: EMAIL: eW� _ L&I REG# EXP. / PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): yca-©°�� T — Gl D�-` 0 Zoning. �� J LEGAL DESCRIPTION(Abbreviated): [v tz/ SITE ADDRESS: / 1 • G!J GT CITY: DIRECTIONS TO SITE ADDRESS: ix d O 4&4qA P,02L( TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF F1kf SMN1TS—1sT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed.1 have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permitlapplication becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature—o-T Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN MASON COUNTY COMMUNITY SERVICES Permit No: 226 lq -00662- PERMIT ASSISTANCE CENTER: BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98564 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7796 Phone Beflalr.(360)2754467•Phone Elma:(360)482-5269 BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: Q CONTRACTOR INFORMATION: NAME: 2 I- M v NAME: MAILING ADDRESS: zem I MAILING ADDRESS: CITY:,5A",4 `A STATE: k ZIP: fm CITY: STATE: ZIP: PH0NE#1: 3 6r2-7$Q J&4V PHONE: CELL: PHONE#2: EMAIL: EMAIL: 5�.•�n. • 1A'1 L&I REG# PRIMARY CONTA OWNER K CONTRACTOR❑ OTHER NAME EMAIL 5eA4 G &INS N mow! MAILINGADDRESS CITY STATE Imo_ZIP PHONE O— CELL PARCEL INFORMATION: / � PARCEL NUMBER(12 Digit Number) YZ6da--oZy—!`/�1 �VCR�o ZONING &V 1``1,/*— on". LEGAL DESCRIPTION Abbreviated) LO ,Q $ytd jNIA SG�1-7 FIREDISTRICT C.AftP.14ran, n"O— SITE ADDRESS (A1. to G CITY � A f/ y DIRECTIONj TO SITE ADDRESS 44UY /dal, O IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO)a SNOW LOAD:---psf IS PROPERTY WII IN 200 FT OF THE FOLLOWING: (check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑II✓ TYPE OF WORK: NE90 ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,USE Commercial Bldg,Etc) C Al JX 0Mt',4� 464�(��.,�,S �,001 ). IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATBROOMS_� HEATED STRUCTURE? YES M%oleBld YES(Pa44ofBW❑ NO❑ DESCRIBE WORK Canna b/� G.r&t J S SOUARE FOOTAGE:(proposed) IST FLOORqqp sq.ft. 2ND FLOOR_W sq.fL 3RD FLOOR yl A sq.ft BASEMENT sq.R DECK_#A_sq.ft COVERED DECK. /I& sq.fL STORAGE_filA_sq.ft_ OTHER sq.ft. GARAGE k)I:sq.fl.Attached❑ Detached❑ CARPORT__AyA sq.R Attached❑ Detached❑ MANUFACTURED HOME)INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERLALNUMBER ENVIRONMENTAL HEALTH- SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YESO NO❑ Iryes,attach completed Water Adequacy Form PERIlvIETERNOUNDATION DRAINS PROPOSED? YE4-1!` NO❑ EXISTING SQ.FP. EXISTING BEDROOMS PROPOSED BEDROOMS O TOTAL BEDROOMS Q OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal representatnre,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construdon work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATI 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) Signa re OWNER(Must be signed by the OWNER I Date -DEPARTMENTAL REVIEW -' APPROVED'::`-;•DATE--`.:_DENIED DATE.-.TAGS/NOTES./CONDITIONS ; BUILDING DEPARTMENT JTL PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No: l, -Q(JO�jj� PERMIT ASSISTANCE CENTER: -BUILDING PLANNING -FIRE MARSHAL s 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext 352- Fax:(360)427-7798 Phone flelfair.(360)2754467• Phone Elma:(360)482-5269 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: H&4y / 41 LLG NAME: MARLING ADDRESS: Q - MAILING ADDRESS: CITY: STATE:ZIP: {G CITY: STATE: ZIP: lst PHONE: 602-369 C/ PHONE: CELL: ' — S 2nd PHONE: EMAIL: EMAIL: Yj _ / ,--a L&I REG# - EXP. / PARCEL INFORMATION: t` PARCEL NUMBER(12 Digit Number): k Zoning. LEGAL DESCRIPTION(Abbreviated): t 4/ SITE ADDRESS: / I - CITY: DIRECTIONS TO SITE ADDRESS: Q UJ l pi Af O d o D TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNTTS—ls'r FLOOR 2NDFLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH). MECHANICAL UNTTS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heat Pump Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hose bibs Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or contractor.I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permitlapplication becom es null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature o Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J 7i- 1-V-y PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN m SCREENING r0 BE ADDED 70 EXISTING CHAIN LINK FENCE H WY 102 PROPERTIES LLC FOUND 5/8 38' TALL FENCE TOPPED SEC 2,T 20 N,R 4 W,W.M. WITH BARB WIRE. LIES B'CHAINUNK FENCE KITH SCREEN - --\•� N DAMAGED WESTBAR WESTERLY ALONG PROPERTY _. \ PROJECT SJI TE ZOIT 2.0 SHOWN R SHORT LINEAS OIMENSIONP: 60' WIDE ACCESS AND SEPTIC TANKS UTIL EASEMENTS87*236•E PLAT VOL3PG1960 U 376 ao F7 w RESERVE C HORIZONTAL SCALEO O O �f•11 I - _ .�+--^ - '� _ •;�', � - - II u w SEVE CIE "T SWIFT LS 38 9"CAP MARKE D HELD POSITION, TtT0FOUND WITH YELLOW a\FOR N. 1B7 57 •� �� - _ EL•306-5 I - : _ - :a• _ Fl I ' - :.y~.fir?-.• j: OPT IC CABLE NPC PROTRUDING rt R a 3a H FROfCt GROUND / 6, •.� 1.9 -� HU/LD/NG -`6 \ / - -- _-'J�•� 30.00 I 2 POWER METER VICINITY MAP ^:.•i-j ' -_-::1-> I ATTAcJED TO 5'TALL WOOD POST NTS •'C`;; 'F�i' a - - I __- -f,-• I >I'iyH� NEU PROJECT INFORMATION: I • , ... :,•' - - _ to r - ---..•:----" = >=--':••-.- - e-�'1.�• �\ , 10.00 DEVELOPER/OWNER: CIVIL ENQ/NEER/PRIMARY CONTACT: :. `_-: :'. •-' ..`` .. •• •.• c'" ••� - 11 �L' O I; , I 10' WID I UTILITY HWY l02 PROPER77ES LLC PA TRICK HARRON&ASSOCTA TES LLC EASEME SHOWN CONTACT SEAN KIRBY CONTACT•CHRIS CRAMER P.E. z . .,...,- PER SH RT PLAT IM25 NW NORTHRUP ST 8270 287H COURT NE,SUI7E 201 Q z . ..::--`-..,•-:='�- 'y. >.•--�--•:. •>f• :.�=;•=,:.> _ - _ fi - FIBER OPI•IC ' . ,, .• -, '• -' >- :•:-'.:: VOL3 P 196 PCRIIANQ 0R 97119 LACEY, WA 98516 d I _ .,,.Y,F.�''„ 41: c-. .', / ATTACHE TO PH.J60.459.1102 el WOODEN�OST I / EMAIL'chns6potmMorron.com z 10'NOE GAE(�) THERE AS A BLANKET SITE ADDRESS: GEOTECHN/CAL ENGINEER W W Q - BUILDING 05 \ -�-'i'.'. LITILITI S EASEMENT UNDER 14/W MESIFIFLD CT O/AUIY GED NW (1 w AFN 1908183 AND 1914281 SHELTOY WA CONTACT.,LONE PRE57UW*CA/N7 LEG = �- _ TO PL'.U.D. NO. 3 OF MASON 46J1 NMTMAN LN SE STE D � W OR ELECTRIC �'y�,�� PH.J60.8789RA5 _ TY 1.9-•K - --- •_.': - -" - •'-_•: - -'- .•, : > C .. 10 W UT LIT E 2 OVER OF THE LACY, WA 9851J O _ WI E SEWER C I F .. .:_-.:: :�..•3 .: _. r•':..:`•:a'.,,• -:' Cap VOLS G196PLAT - R I S�UTH 4.99 I _ _ EST HALF OF THE EAST SURVEYOR U W {•- - I I I HALF OF THE NW 1/4 OF MTN 1 COAST Z 1' _ ;`•-•' s4:' SECTION 2. UTILITY LINES AS (YW7ACT SEIN f PRIGGE O SHOWN IN EASEMENTS RUN Cn 0 1. 2J20 MOTTMAN RD SW,57F 106 I I _ : ALONG W. WESTFIELD CT. Q NMWA7IF WA 98512 !, PH..J60.MR 194,9 v v n I •.V 60.00,_ i _ .� I LOT 3 P�� 6 J __ " 60' WIDE ACCESS AND DEVELOPMENT DATA: BUILDING #4 AFN 1916060 OR G �9 : :. - _ '� I I UTILITY EASEMENT ,o I - TPN 420022490030 SN '\. J SHOWN PER SHORT PROPERTY AREA 99,548 5F(2285 ACRES) 'I`�'�- I _ JOB / -:->•* \ I I PLAT VOL3 PG196 m 1 5 I - -.-i� _ _:�• - - — i ADDRESS' 141 W W£SMELD CT ¢ SHEL T c ' PARCEL NUMBER 42002 74 900J00 TON, WA 96584 EL r `O -`� W�. rn 0 I I et1 rs=: - N yy <f _ IP'ti•' ASSESSORS LEGAL DESCR RON• c- m_ a - N - -,.,-•=.;^:` _ f GROUND, [TA COMM/7M£NT FOR RTLf INSURANCE ORDER NO 2022 4JZOJ • •. •.'"ti:.:--� :- ,. .: .,:: --1- z UTEC77W DATE SEPTUSER 012 °� m 8 I I LEGAL LESCRPDOW PER AEGIS 77IL NO A SH c L o a I - - I J %'-• LOT J OF SNIT SUBDIVISION N0.J017,RECORDED MARCH 10,100i&IN VOLUME J OF SHORT PLATS PACE 196,AUDITORS Z •.t BUILDING #3 RLf NO.. 1916060,AND BEING A PORTION OF THE EAST HALF OF THE NORTHNESr QUARTER OF S£CRGN 2 Toosv/P 20 ? I I NORTH,RANGE 4 NEST, W.M.,MASON COUNTY, WASHINGTON U `.". FLOW I I n o a v~-i I {• - LINE TOGETHER WITH AND SUSECT 70 AN EASEMENT FOR ACCESS AND UTILITIES,60 FEET IN ROM,,INCLUDING ADDITIONAL `a 3 I - .-=:.J:•: MOM FOR CURIES AT ANGLE POINTS AS SHOW ON THE MAP OF SHORT SUBOTV757OW NO 3027,RECORDED MARCH 10, 8'CHA/NUNK FENCE z 2.2 I , ' _ _ _ _ 20Qq IN VOLUME J OFSHA4T PUT,PAW1.96,AUDITOR'SRlf N0. 1916060. - - - :� -j �24504 eCMC SDS CIVIC - - I I - SHEET LIST TABLE o _ - BOUNDAl7Y NOTE.,_ KK _ / OT o I .%�. - - - .+- / SHEET NUMBER SHEET TI1LE STEET OESMIACIW I '' ::>_ -/ US DOES NOT CtiWSR7V7E A U U I -v'• - _ A I I BOUNDARY SURVEY,AND Is STB,.ECr TO T Cl.o COO?57kET AM s+TE PLAN J o �' 1 i1 /' ANY NACCURADES THAT A SUBSEQUENT2 C2.0 IMPLANJ BOUNDARY SUR6£YMAYDISCLOSE 3 C2! 1L3'CO£TNLS (n 00 I 4 C3o H0Rl70NTAL CONTROL AND FIRE LANE PUN UTILITY NOTE: W 00 20'WE GATE(POIER) 5 040 GRADING PLAN U ( U77UrY LOCATIONS SHOW HEREON ARE 6 C5.0 STORM PLAN w L _ ••I' BASED ON A C OMBINA77ON OF RELO Q o _ I I - - •c`' - 7 CSl JIOV AILS - SURVEY C1�'OBSERVABLE EVIDENCE AND BIOR£)EN DETAILS f N_ -'l w 3 x I ¢ I I - _ _ r I.- - N COMPANY U)1Ll C Y LOCARCW MAPS AND o ii B 2 7IO'V PUNIINC rn '-l•' C5: BI0Rf1EN 0:� o c >i I :� ^_�.::.- .-= '•:r�.••.,:. - .STLIIII LIVE"'"=-..:. �..'-> PANT,AND ARE SUB.4CT 10 RQD z 3 1 - a_ - :•>. '. �'••••r�• :'•'.• :•� \ / I I FOUND 5 8" REBAR WITH IERIRCATIO4. 9 C&0 UTILITY PLAN 3 z z O c '•l'' _ -- - -_- I 'T.SW IFT 38489" Z �o oYELLOW CAP MARKEDE/ 2.3 -; n U ` . DATUM T � UM: 308.42. '-`--1Y---.. •�• I CV ..I oI-_ N L 58T23'O6"E, 14 ^-ram-_.;..__.• .•:- � `>.f I I HORIZONTAL- WA96NCrQV STAY PLANE COORDINATES SOUTH Z[XJf,NAD(TJ/2011 BASED ON GpS I1E5 TO W E FENCE LIES NORTHERLY n N:711575.80 "' I-Y 11 - _ _ _ - MCWUMEN7S POST PROf.£55ED THROUGH OPUS SOLUTION WTERNA7KWAL RFT. � t8' TALL ALONG PROPERTY LINE O E.980913.58 B3 Y _ _ 4 FENCE FOUND 5/8" REBAR WITH WITHOUT AS DIMENSIONED. MNH7305'st 7o I I m I I kFTICAL-NAND(1B BASED CW[PS TIES 70 MONUMENTS POST PROCESSED THROUGH G°I/S SOLUITOW. CAP, PROTRUDING 0.4' ABOVE FOUND 5/8" a o GRADE, S60'58'48-W, 0.4' FROM SClEEa M TO 6E ACM TO EM5 W B'DNIV LNK IFIYer BENT REBAR WITH I% I I ALL CPS 77ES AND CONTROLS HERE CONVER7ED TO GROUND SCALE,SCALED ABOUT PT 10,IWIH A CaON£ v rn CALCULATED POSITION. 0.7- J I I SCALE FACTOR-0.99997172 °' ` SOUTHERLY OF FENCE LINE. DAMAGED CAP 9/11/24 o THE CONTRACTOR SHALL BE FULLY RESPON98L£FOR IHf LOCATION N< A:JILL Ate 80�8 AND PROTECTION OF ALL ENS17NG UAU77ES THE CONTRACTOR AS SHOWN SHALL VERIFY ALL UTIUrY LOCATIONS PRIOR TO COVSTRUC77OJ BY o a 33HPORI7 YOU DIe CALLING THE UNDERGROUND LOCATE LINE A 1-800-424-5555 OR C1.0 i 811 811(CELL)A WNIMUM OF 46 HOURS PRIOR 70 ANY£XCAVA77(W 1o. g in o: